Temporary Care Form

How do you file on your Taxes?

Single

Married

Please list your experience with multiples

1-2 years

2-4 years

4-8 years

8-10 years

Please upload a picture of your Driver's Insurance (this is required)

Please upload a picture of you for your profile

Full Name: *

Email Address *

Do you have a reliable vehicle?

Yes

No

How long can you commit?

One month

Three months

Six months

indefinite

Have you had a Covid vaccine?

Yes

No

City and State

Are you socially distancing

Yes

No

How many hours do you want to work

Full Time

Part Time

Please upload a picture of your CPR Certification (this is required) *

Cell Phone Number *

Address

Are you CPR &First Aid Certified

Yes

No

How many would you like to have listed as dependents? EX. 0, 1,2?

How are you filing on your tax document - Married / or Single?

How many do you claim on filing?

0

1

2

3

Due to liability and safety precautions, I agree to only accept shifts from families that have been confirmed from corporate or the agency. If a family from corporate reaches out to book shifts privately, I will not accept the shift unless confirmed with corporate or the agency. *

I Agree

I do not

Are you a non-smoker?

Yes

No

Full Name:

Have you had Covid previously?

Yes

No

Please describe your childcare / nanny experience history in 250- 500 characters (Required)

Are you a certified Lifeguard

Yes

No

​​​​Above & Beyond Nanny Services, Inc.

Above & Beyond Nanny Services, Inc.